| NPI | 1922623024 |
|---|---|
| Former Name | LYDIA M MOLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34009879A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 99099173A) |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2022-12-14 |